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A Case of Acute Viral Myositis

Journal of the Korean Pediatric Society 1996;39(4):572-576.
Published online April 15, 1996.
A Case of Acute Viral Myositis
Jong-Hoon Kwak, Kyung-Yil Lee, Ji-Whan Han, Sung-Soo Hwang, Jae-Kyun Huh, Kyong-Su Lee
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
급성 바이러스성 근염 1례
곽종훈, 이경원, 한지환, 황성수, 허재균, 이경수
가톨릭대학교 의과대학 소아과학교실
Diffuse myalgia is common in transient systemic viral infections but overt myositis, with weakness and signs of muscle inflammation, rarely accompanies viral infection in chidren. We describe a 8-year-old boy with severe myalgia and tenderness in both lower extremities, whose unusual skeletal muscle uptake on Technetium-methylene diphosphate bone scan helped to diagnosis of myositis. Clinical course, muscle-derived enzyme studies(AST, ALT, LD, CK), electromyogram findings, histopathologic findings obtained from left gastrocnemius muscle biopsy and serologic studies for enteroviral antibodies (enterovirus type 71 and Coxsackie B4 neutralization antibody titer 1:128 respectively) were all compatible with acute viral myositis.
Key Words: Viral myositis, Technetium-methylene diphosphate bone scan, Enteroviral infection

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